Individual
DR. ROBERT THEORDORE LUNDBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLINICAL PSYCHOLOGIS
Contact information
Practice address
2695 12TH PL SE, SALEM, OR 97302-2537
(503) 945-2800
Mailing address
2695 12TH PL SE, SALEM, OR 97302-2537
(503) 945-9840
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1688
OR
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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